Hi, I have fairly uneven breasts and moderate pectus excavatum. I just got my first consultation for surgery the other day and the surgeon rated them to be about 330CCs different. The smaller one is also tuberus. I also learned that my shoulders are a bit uneven because of the weight difference. Since this all technically stems from a deformity, would it be possible to have insurance cover at least a portion? How do I go about this? (I have CIGNA ppo) Advice is appreciated. Thank you!
February 20, 2018
Answer: Surgical options Thank you for your question.It is hard to answer if an insurance company will pay for anything, especially now when they do not want to pay for anything that is not life or death. I would recommend getting the diagnosis and procedure codes from your doctor, then you can call the insurance to see if these are covered codes. If there is a possibility for them to be covered then the doctor can submit your information to get everything authorized through the insurance prior to your procedure. Good luck.
Helpful
February 20, 2018
Answer: Surgical options Thank you for your question.It is hard to answer if an insurance company will pay for anything, especially now when they do not want to pay for anything that is not life or death. I would recommend getting the diagnosis and procedure codes from your doctor, then you can call the insurance to see if these are covered codes. If there is a possibility for them to be covered then the doctor can submit your information to get everything authorized through the insurance prior to your procedure. Good luck.
Helpful
February 26, 2018
Answer: Insurance coverage for breast augmentation Generally speaking, breast augmentation for asymmetries related to pectus deformities are not considered medically necessary so it would be difficult to obtain coverage for your procedure. That being said, you can always apply to your insurance company and see what happens. Your surgeon will need to send in a letter and perhaps some corroborating photos to support your case for coverage.
Helpful
February 26, 2018
Answer: Insurance coverage for breast augmentation Generally speaking, breast augmentation for asymmetries related to pectus deformities are not considered medically necessary so it would be difficult to obtain coverage for your procedure. That being said, you can always apply to your insurance company and see what happens. Your surgeon will need to send in a letter and perhaps some corroborating photos to support your case for coverage.
Helpful